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He was also medical coordinator in Brazil, where MSF provided health care to indigenous populations in the Amazon province and in the Republic of Congo, for a program to combat sleeping sickness. In 2002, Dr Karunakara joined MSFs public health department in Amsterdam, where he was a consultant for national programs in the Middle East, Southern Africa and Central and South America. Three years later, he became medical director of MSFs Campaign for Access to Essential Medicines CAME. In 2007, he traveled with an emergency medical response team to treat victims of Cyclone Sidr in Mathbaria, Bangladesh. The mechanisms by which habit modifies the risk and possibly the progression of the disease are still unknown.

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